How do we report the new International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes V64.0–V64.9, reasons for failure to immunize? Do we report them with the evaluation and management (E/M) service or the vaccine product code?

The new V64.XX codes are reported as secondary to the specific V code for the vaccine that is not administered. For example, during a recheck for otitis media, a physician wants to administer the influenza vaccine to a patient who is accompanied by a nanny. The nanny is not sure whether the parent would really want the child to receive the vaccine, so the vaccine administration is refused until the parent can consent. You would report the service and diagnoses as

Remember that ICD-9-CM guidelines specify that you cannot report conditions that were previously treated and no longer exist. Therefore, it is correct coding to report the primary diagnosis of V67.59...

You do not currently have access to this content.